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David
A
Head
DC
Contract Details
ChiroPlus Of Alabama
Facility name
Provider ID
P000000735
NPI
1174542625
Tax ID
631137504
Effective Date
7/1/1999
Last Updated
4/16/2014
Direct Contract
Yes
Term Date
4/16/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1013 West Fort Williams Street
Sylacauga, AL 35150
United States
County
Talladega
Phone
2562452258
(
Phone
)
Billing Details
Address
1013 West Fort Williams Street
Sylacauga, AL 35150
Billing Phone
2562452258
Specialty Type
Chiropractic Medicine
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Address